Mr Christopher D Theobald, FNP - Medicare Nurse Practitioner in Saranac Lake, NY

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Mr Christopher D Theobald, FNP is a medicare enrolled "Nurse Practitioner - Family" in Saranac Lake, New York. His current practice location is 2233 State Route 86, Saranac Lake, New York. You can reach out to his office (for appointments etc.) via phone at (518) 891-4141.

Mr Christopher D Theobald is licensed to practice in New York (license number 349696) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174253231.

Contact Information

Mr Christopher D Theobald, FNP
2233 State Route 86,
Saranac Lake, NY 12983-5644
(518) 891-4141
Not Available

Map and Direction




Provider's Profile

Full NameMr Christopher D Theobald
GenderMale
SpecialityNurse Practitioner - Family
Location2233 State Route 86, Saranac Lake, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174253231
  • Provider Enumeration Date: 06/13/2022
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8426428814
  • Enrollment ID: I20221229000809

Medical Identifiers

Medical identifiers for Mr Christopher D Theobald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174253231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 349696 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Christopher D Theobald allows following entities to bill medicare on his behalf.
Entity NameAdirondack Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245446533
PECOS PAC ID: 9638081284
Enrollment ID: O20031103000224
Entity NameAdirondack Medical Center
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1487183174
PECOS PAC ID: 9638081284
Enrollment ID: O20170823002656

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Christopher D Theobald is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Christopher D Theobald, FNP
2233 State Route 86,
Saranac Lake, NY 12983-5644

Ph: () -		Mr Christopher D Theobald, FNP
2233 State Route 86,
Saranac Lake, NY 12983-5644

Ph: (518) 891-4141

Reviews and Comments


Nurse Practitioner Nurses in Saranac Lake, NY

Lara Niles, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2233 State Route 86, Saranac Lake, NY 12983
Phone: 518-891-4141    
Patricia Ann Randolph-clark, RN, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 25 Woodruff St, Saranac Lake, NY 12983
Phone: 518-891-5484    Fax: 518-891-5484
Marijke B Ormel, ANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2233 State Route 86, Saranac Lake, NY 12983
Phone: 518-891-4141    Fax: 518-897-2788
Mrs. Jaclyn A Farrington, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2249 Ny-86, Suite 3, Saranac Lake, NY 12983
Phone: 518-891-3845    
Anna Barker,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 72 Franklin Ave Apt 1, Saranac Lake, NY 12983
Phone: 518-354-3956    
Ms. Deborah P Marshall, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 309 County Route 47, Saranac Lake, NY 12983
Phone: 518-891-2688    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.